Peri-implantitis
Hello Dr.
Lin, on December 16th, an X-ray taken in Hong Kong revealed severe peri-implantitis.
A CT scan on December 21st indicated that only 2mm of the implant remains.
Due to various considerations, I decided to return to Taiwan for treatment and am currently in quarantine.
My appointment is scheduled for January 17th.
I am very concerned that more bone may be absorbed during the quarantine period.
Could you please advise:
1.
What can I do during the quarantine to slow down the absorption rate? I am currently using dental floss, a toothbrush with anti-periodontal disease toothpaste, and mouthwash (I read online that mouthwash shouldn't be used daily).
2.
Approximately how much bone might be absorbed in a month? I am very worried.
Thank you, doctor! I really appreciate your help!
Kiki, 30~39 year old female. Ask Date: 2021/12/29
Dr. Lin Jiayong reply Dentistry
Hello: If the implant is within the bone and only 2mm of osseointegration remains, it is likely that this dental implant will need to be extracted.
It is advised to maintain oral hygiene and prevent any further infection or inflammation.
After the isolation period, you should discuss the next steps with your implant dentist.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.
Reply Date: 2021/12/29
More Info
Managing peri-implantitis, especially during a quarantine period, can be challenging but there are several strategies you can implement to help mitigate the condition and preserve your dental implants. Peri-implantitis is an inflammatory condition affecting the soft and hard tissues surrounding dental implants, often leading to bone loss if not managed properly. Here are some tips and considerations for you during your quarantine:
1. Oral Hygiene Maintenance:
- Continue using dental floss and a soft-bristled toothbrush to clean around the implant. It’s essential to maintain a rigorous oral hygiene routine to prevent plaque accumulation, which can exacerbate peri-implantitis.
- Use an antibacterial mouthwash, but be cautious about the frequency of use. While some mouthwashes can be beneficial, overuse may disrupt the natural oral flora. Aim for a balanced approach, perhaps using it once or twice a day.
- Consider using a water flosser or an interdental brush designed for implants, as these can be effective in cleaning hard-to-reach areas without causing trauma to the surrounding tissues.
2. Dietary Considerations:
- Maintain a balanced diet rich in vitamins and minerals, particularly calcium and vitamin D, which are crucial for bone health. Foods such as dairy products, leafy greens, and fatty fish can be beneficial.
- Stay hydrated, as adequate water intake can help maintain saliva production, which is essential for oral health.
3. Avoid Irritants:
- If you smoke, consider reducing or quitting, as smoking is a significant risk factor for peri-implantitis and can hinder healing.
- Limit the intake of sugary foods and beverages, as they can contribute to plaque formation and inflammation.
4. Monitoring Symptoms:
- Keep an eye on any changes in your symptoms, such as increased swelling, pain, or discharge around the implant. Document these changes to discuss with your dentist during your appointment.
- If you experience significant discomfort or other concerning symptoms, consider reaching out to a dental professional for advice, even if it’s through telehealth.
5. Bone Loss Concerns:
- It’s difficult to predict the exact amount of bone loss that may occur over a month, as it varies based on individual factors, including the severity of the peri-implantitis and your overall health. However, early intervention is key to preventing further bone loss.
- Regular follow-ups with your dentist after your quarantine will be crucial. They may recommend treatments such as scaling and root planing, local antibiotic therapy, or even surgical intervention if necessary.
6. Post-Quarantine Care:
- Once you are able to see your dentist, they may perform a thorough examination and possibly imaging to assess the extent of the bone loss and the health of the implant.
- Depending on the findings, your dentist may suggest a tailored treatment plan, which could include professional cleaning, antibiotics, or regenerative procedures to help restore the lost bone.
7. Stress Management:
- Quarantine can be stressful, and stress can negatively impact your immune system and overall health. Engage in relaxation techniques such as deep breathing, meditation, or gentle exercise (if permitted) to help manage stress levels.
In summary, maintaining excellent oral hygiene, monitoring your symptoms, and preparing for your upcoming dental appointment are essential steps during your quarantine. While it’s natural to feel anxious about potential bone loss, proactive measures can help manage peri-implantitis effectively. Remember, your dental health is a priority, and seeking professional guidance as soon as possible will be beneficial in addressing your concerns.
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